Virtual reality for post-stroke shoulder-arm motor rehabilitation: Training system & assessment method

S. Yeh, Si-Huei Lee, Jia-Chi Wang, Shuya Chen, Yu-Tsung Chen, Yi-Yung Yang, Huang-Ren Chen, Yen-Po Hung
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引用次数: 12

Abstract

Stroke is one of the major diseases around the world. The brain injury caused by stroke will derive sustaining neurological disorder of different forms, which in turn will lead to all kinds of limb and body exercise hindrance and will cause significant challenge to the life of the patient, that is, the quality of life of the patient is going to be strictly affected. Along with the development and popularity of technology, scholars in the medical care and rehabilitation fields are trying to integrate all kinds of new technologies to perform the development of new rehabilitation training system. This research aims at rehabilitation items of upper limbs, which include the reciprocating stretching of upper limb, reaching of the upper arm, bi-lateral coordination and balance of the body. In association with interactive technology, game technology, sensor technology and stereo image technology, virtual reality physical-based training task is developed, and initial pilot test is done on patient with stroke, meanwhile, multi-dimensional experimental results are acquired, which include clinical test assessment, task performance, historical data of exercise track and psychological emotional data. The research objectives are to verify the functionality of the system, to verify the effectiveness of the system on rehabilitation, to develop new assessment method and to investigate topics related to human machine interaction. The experimental results have verified the functionality of this rehabilitation training task in all aspects. Through the exercise analysis of the historical data of exercise track and the statistical analysis of task performance of the past therapy sessions, this system can acquire successfully reliable and valuable information to be used for future verification of medical therapeutic effectiveness and the development of new type of clinical assessment method. In the mean time, according to the measured psychological emotional data as perceived subjectively, this system indeed can urge the patient to engage continuously rehabilitation therapeutic session that is based on this training system and enjoy it, besides, the authors are very confident on the possibly generated rehabilitation effect of these two training tasks.
脑卒中后肩臂运动康复的虚拟现实:训练系统与评估方法
中风是世界上主要的疾病之一。脑卒中引起的脑损伤会衍生出不同形式的持续性神经系统障碍,进而导致各种肢体和身体运动障碍,对患者的生活造成重大挑战,即严重影响患者的生活质量。随着技术的发展和普及,医疗和康复领域的学者们正在尝试整合各种新技术来进行新的康复训练系统的开发。本研究针对上肢的康复项目,包括上肢的往复伸展、上臂的伸展、身体的双侧协调和平衡。结合交互技术、游戏技术、传感器技术和立体图像技术,开发了基于虚拟现实的物理训练任务,并对脑卒中患者进行了初步中试,同时获得了包括临床测试评估、任务表现、运动轨迹历史数据和心理情绪数据在内的多维实验结果。研究目的是验证该系统的功能,验证该系统对康复的有效性,开发新的评估方法,并研究与人机交互相关的主题。实验结果从各方面验证了该康复训练任务的功能性。该系统通过对运动轨迹历史数据的运动分析和对以往治疗时段任务表现的统计分析,成功获取了可靠而有价值的信息,可用于未来医学治疗效果的验证和新型临床评估方法的开发。同时,根据主观感知到的测量到的心理情绪数据,该系统确实可以促使患者持续进行基于该训练系统的康复治疗并享受其中,并且作者对这两种训练任务可能产生的康复效果非常有信心。
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